Chow, Calla Rose

Chow, Calla Rose is an individual health care provider with primary practice located at 1742 Village Park Drive , Orangeburg SC 29118-1931. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Chow, Calla Rose can be contacted via phone (803) 997-0856.

Contact Information

Primary practice address
1742 Village Park Drive Orangeburg SC 29118-1931
Phone: (803) 997-0856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 187636 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 19752 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 19752 South Carolina

Profile Details

NPI number 1083083117
LBN Legal business name Chow, Calla Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Aug 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083083117 NPPES
South Carolina Other 19752 MEDICAL LICENSE
South Carolina MEDICAID NP3492 MEDICAL LICENSE

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